Notes from the Field: Outbreak of Hand, Foot, and Mouth Disease Caused by Coxsackievirus A6 Among Basic Military Trainees - Texas, 2015
| Autor: | Mary T Pawlak, Caitlin Seykora, Simon Ritchie, Jonathan Banta, Heather C. Yun, Brittany Lenz, Kelly Laskoski, Bryant J Webber |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Pathology Health (social science) Adolescent Epidemiology Constitutional symptoms Health Toxicology and Mutagenesis Rocky Mountain spotted fever Vital signs Coxsackievirus Infections Disease Disease Outbreaks 030207 dermatology & venereal diseases 03 medical and health sciences Young Adult 0302 clinical medicine Health Information Management medicine Humans 030212 general & internal medicine business.industry Outbreak General Medicine medicine.disease Dermatology Texas Purpura Military Personnel Female medicine.symptom Differential diagnosis business Hand Foot and Mouth Disease Foot (unit) |
| Zdroj: | MMWR. Morbidity and mortality weekly report. 65(26) |
| ISSN: | 1545-861X |
| Popis: | On July 7, 2015, a man aged 22 years reported to sick call during basic military training at Lackland Air Force Base (AFB), Texas. He had erythematous, crusted papulovesicular lesions on the extensor surfaces of the upper and lower extremities. The patient was afebrile and otherwise well, and was evaluated later that day by the dermatology service. A viral infection was considered most likely because of the patient's age, absence of fever or constitutional symptoms, and the distribution and morphology of the lesions. The initial differential diagnosis included Henoch-Schonlein purpura, parvovirus B19, and Rocky Mountain spotted fever. However, the clinical signs, including the unique morphology and distribution of grouped vesicles and papules was suggestive of hand, foot, and mouth disease (HFMD), although the patient did not have oral lesions and reported no contact with another person with HFMD. A viral culture and punch biopsy of one of the lesions were obtained. |
| Databáze: | OpenAIRE |
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